rs144346996

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1_ModeratePM2PP5_Very_Strong

The NM_006907.4(PYCR1):​c.633+1G>C variant causes a splice donor, intron change. The variant allele was found at a frequency of 0.0000326 in 1,564,702 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000028 ( 0 hom. )

Consequence

PYCR1
NM_006907.4 splice_donor, intron

Scores

3
3
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:7

Conservation

PhyloP100: 6.00

Publications

2 publications found
Variant links:
Genes affected
PYCR1 (HGNC:9721): (pyrroline-5-carboxylate reductase 1) This gene encodes an enzyme that catalyzes the NAD(P)H-dependent conversion of pyrroline-5-carboxylate to proline. This enzyme may also play a physiologic role in the generation of NADP(+) in some cell types. The protein forms a homopolymer and localizes to the mitochondrion. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]
PYCR1 Gene-Disease associations (from GenCC):
  • autosomal recessive cutis laxa type 2B
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, G2P, Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • PYCR1-related de Barsy syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Ambry Genetics
  • geroderma osteodysplastica
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.096875 fraction of the gene. Cryptic splice site detected, with MaxEntScore 3.4, offset of 24, new splice context is: ctgGTgggg. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-81934652-C-G is Pathogenic according to our data. Variant chr17-81934652-C-G is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 325904.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006907.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PYCR1
NM_006907.4
MANE Select
c.633+1G>C
splice_donor intron
N/ANP_008838.2
PYCR1
NM_001282281.2
c.714+1G>C
splice_donor intron
N/ANP_001269210.1P32322-3
PYCR1
NM_001282280.2
c.633+1G>C
splice_donor intron
N/ANP_001269209.1P32322-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PYCR1
ENST00000329875.13
TSL:1 MANE Select
c.633+1G>C
splice_donor intron
N/AENSP00000328858.8P32322-1
PYCR1
ENST00000619204.4
TSL:1
c.633+1G>C
splice_donor intron
N/AENSP00000479793.1P32322-1
PYCR1
ENST00000337943.9
TSL:1
c.633+1G>C
splice_donor intron
N/AENSP00000336579.5P32322-2

Frequencies

GnomAD3 genomes
AF:
0.0000723
AC:
11
AN:
152230
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000287
AC:
5
AN:
174502
AF XY:
0.0000214
show subpopulations
Gnomad AFR exome
AF:
0.000102
Gnomad AMR exome
AF:
0.0000744
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000280
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000283
AC:
40
AN:
1412472
Hom.:
0
Cov.:
33
AF XY:
0.0000315
AC XY:
22
AN XY:
698244
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32164
American (AMR)
AF:
0.0000531
AC:
2
AN:
37688
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25326
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36774
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80268
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48928
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5714
European-Non Finnish (NFE)
AF:
0.0000331
AC:
36
AN:
1087090
Other (OTH)
AF:
0.0000342
AC:
2
AN:
58520
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000723
AC:
11
AN:
152230
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74376
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41458
American (AMR)
AF:
0.00
AC:
0
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000147
AC:
10
AN:
68028
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000491
ESP6500AA
AF:
0.000231
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000170
AC:
2

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
-
-
not provided (2)
1
-
-
Autosomal recessive cutis laxa type 2B;C3280799:PYCR1-related de Barsy syndrome (1)
1
-
-
Cutis laxa (1)
1
-
-
Inborn genetic diseases (1)
1
-
-
PYCR1-related disorder (1)
1
-
-
Wiedemann-Rautenstrauch-like progeroid syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.54
D
BayesDel_noAF
Pathogenic
0.23
CADD
Pathogenic
33
DANN
Uncertain
0.99
Eigen
Pathogenic
0.86
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Uncertain
0.96
D
PhyloP100
6.0
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=0/100
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.95
SpliceAI score (max)
0.99
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.28
Position offset: -23
DS_DL_spliceai
0.99
Position offset: 1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs144346996; hg19: chr17-79892528; API